| NPI | 1043574940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY DUNGER Executive Director Finance 314-364-3707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 364SF0001X Clinical Nurse Specialist, Family Health | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2025-04-25 |